| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $575.44 | $602.56 | $1,445.44 | |
Cigna
| Facility | AS | $144.54 | $144.54 | $144.54 |
Kaiser Permanente
| Professional | $707.95 | $912.01 | $1,258.93 | |
United
| Facility | $426.58 | $524.81 | $1,318.26 |